Superhealth, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SUPERHEALTH, INC.

Doing business as

SuperHealth, Inc.

Practice address

19 Lumbre del Sol
Espanola, NM 87532-6701

Phone

(505) 699-6505

NPI assigned

Apr 30, 2020

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mukta Kaur KhalsaNPI 1669941209

Title

Director

Phone

(505) 699-6505

Specialties & licenses 1

Addresses

Other names 1

• SuperHealth, Inc. Doing business as

Electronic endpoints 4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mukta Kaur Khalsa, PMHC, LADAC

  • Mental Health Counselor
  • Espanola, NM
  • NPI 1669941209
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1073134011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 LUMBRE DEL SOL",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875326701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 LUMBRE DEL SOL",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875326701",
            "telephone_number": "505-699-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERHEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "KHALSA",
        "authorized_official_first_name": "MUKTA",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-699-6505"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Espanola",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Espanola",
            "address_1": "19 Lumbre Del Sol",
            "city": "Espanola",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875326701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Espanola",
            "affiliation": "N",
            "address_1": "19 Lumbre Del Sol",
            "city": "Espanola",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875326701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Espanola",
            "affiliation": "N",
            "address_1": "19 Lumbre Del Sol",
            "city": "Espanola",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875326701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Espanola",
            "affiliation": "N",
            "address_1": "19 Lumbre Del Sol",
            "city": "Espanola",
            "state": "NM",
            "country_code": "US",
            "postal_code": "875326701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SuperHealth, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Espanola, NM
• Providers in Espanola, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.